title: [Surgical aspects of peritoneal dialysis].
abstract: Peritoneal dialysis (PD) has wide clinical range since die 70ies. Clinical data report a significantly higher 2 year survival rate for PD compared to patients treated with hemodialysis. Nevertheless, currently only about 10 % of patients suffering from end-stage renal disease are treated with PD. Long-term function of the catheter is based on patient's compliance as well as optimal surgical catheter implantation. Beside the classic "open" surgical approach by mini laparotomy new minimal invasive techniques of catheter implantation were developed during the last years. Advantages of laparoscopic techniques are the possibility for combined intraperitoneal procedures and optimal placement of the catheter. Most of surgery-related complications are caused by leakage or migration, infection is very rare. Several studies did not find an advantage of minimal invasive procedures regarding complications.This review should give an overview on currently established surgical techniques for PD-catheter implantation.
authors.affiliation: Medizinische Universität Wien, Abteilung für Transplantationschirurgie AKH Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich. gerd.silberhumer@meduniwien.ac.at
authors.forename: Gerd R
authors.initials: GR
authors.lastname: Silberhumer
authors.forename: Herwig
authors.initials: H
authors.lastname: Pokorny
authors.forename: Georg
authors.initials: G
authors.lastname: Györi
authors.forename: Ferdinand
authors.initials: F
authors.lastname: Mühlbacher
mesh_terms: D001317:Austria; D002408:Catheters, Indwelling; D000075202:Contraindications; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality / Q000628:therapy*; D010535:Laparoscopy; D019060:Minimally Invasive Surgical Procedures; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000379:methods* / Q000401:mortality; D011183:Postoperative Complications / Q000209:etiology; D012307:Risk Factors; D016896:Treatment Outcome